Harvey, Randolf R

Harvey, Randolf R is an individual health care provider with primary practice located at 160 Boston Ave , Altamonte Springs FL 32701-4798. He recently has only one registered license in Nursing Service Providers / Medical-Surgical, which is considered as his primary health care specialty. Harvey, Randolf R can be contacted via phone (407) 834-7776.

Contact Information

Primary practice address
160 Boston Ave Altamonte Springs FL 32701-4798
Phone: (407) 834-7776
Fax: (407) 834-0973
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Medical-Surgical 163WM0705X ARNP 935292 Florida

Profile Details

NPI number 1366413460
LBN Legal business name Harvey, Randolf R
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 28th, 2006
Last updated Jul 26th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366413460 NPPES
Florida MEDICAID 033396400

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